How much rates vary
Facilitymedian $49 · 10th to 90th $30 to $178Professionalmedian $34 · 10th to 90th $31 to $38
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | None | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $26.92 | Professional | None | $21.88 | $25.70 | $26.92 |
AmeriHealth Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Capital Blue Cross Setting Facility Modifier None Typical Low $33.11 Median $38.02 Typical High $5,011.87 | Facility | None | $33.11 | $38.02 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $134.90 | Facility | None | $35.48 | $58.88 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Geisinger Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Highmark BCBS Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $107.15 | Facility | None | $24.55 | $24.55 | $107.15 |
Independence Blue Cross Setting Facility Modifier None Typical Low $38.90 Median $42.66 Typical High $44.67 | Facility | None | $38.90 | $42.66 | $44.67 |
Independence Blue Cross Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | None | $32.36 | $32.36 | $35.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $22.91 Median $102.33 Typical High $177.83 | Facility | None | $22.91 | $102.33 | $177.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $29.51 | Professional | None | $22.91 | $22.91 | $29.51 |
United Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $46.77 | Professional | None | $30.90 | $38.02 | $46.77 |
Where Pennsylvania sits
The same service costs 97.7 times more in Arizona than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 24th of 51
$35.48
AZ $48.98RI $0.50
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.